National Case Management Week is October 9-15, where we recognize the work of our entire Care Management team. This year’s theme for Case Management Week is “Case Management: We listen. We care. We lead.”
Texas Children’s Care Management team is comprised of care managers, access care managers, utilization review nurses, care management assistants, appeals and audit nurses, an educator, two physician advisors and leadership. There is representation at Main Campus, West Campus, and there will be a team for The Woodlands. With all campuses combined, Care Management is comprised of more than sixty staff members.
Each member of the team serves an important role in the care of Texas Children’s patients before, during and after their stay at Texas Children’s. From the beginning, access care managers work closely with the Emergency Center and Post Anesthesia Care Unit teams to make sure that each patient, upon admission to Texas Children’s Hospital, is in the correct level of care. Care from there is transitioned to the unit care managers who believe that discharge planning starts on admission, working to assess discharge needs and barriers early in the patient’s stay. They listen and collaborate daily in Care Progression Rounds, looking at the ongoing discharge needs of each patient. Using their knowledge of community resources and insurance, they assist the interdisciplinary team in coordination of complex patient discharges.
Other members of the team provide support for utilization review, appeals and denials. They advocate for the patients, which involves communicating with each patient’s insurance payer to ensure that the patient’s hospital stay is covered. Leading tirelessly, there are members of Care Management in the hospital around the clock working to meet patient needs. They help to ensure that each patient gets the best care, in the correct setting, for optimal patient outcomes.
Celebrate the contribution of the Texas Children’s Care Management team! Teams are located in A165 on Main Campus and 379.00 at West Campus.